Abstract:Hypertension is a non-communicable disease indicated by high blood pressure above 140/90 mmHg. This condition leads to major complications if treatment is not received. As a result, managing health is essential to control…
rol hypertension. The study aims to investigate the relationship between self-care and the decrease in blood pressure among hypertensive patients in Sukamakmur Public Health Center. The population was 110 hypertensive patients, and 86 respondents were selected as the sample using a random sampling technique. The research was conducted from 15 to 21 April 2025. A quantitative correlational research design was used with a cross-sectional approach. The research instruments were the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure assessed using a digital sphygmomanometer. The data that was analyzed from the Chi-Square test analysis showed a p-value of 0.020 (p<0.05). This finding indicated a relationship between self-care management and blood pressure decline in hypertensive patients at the Sukamakmur Community Health Center. This study suggests that patients should be more active and consistently do self-care management to help maintain stable blood pressure levels.
Abstract:Stunting remains a major public health issue hindering the achievement of the Sustainable Development Goals (SDGs), particularly Goal 2 (Zero Hunger) and Goal 3 (Good Health and Well-Being). Previous studies have mostly…
focused on nutrition and health aspects, while this research addresses the research gap by analyzing policy strategies based on cross-sectoral collaboration at the village level. The purpose of this study is to identify and analyze stunting mitigation policy strategies within the framework of achieving the SDGs in Bayumundu Village, Kaduhejo District, Pandeglang Regency. This research employs Collaborative Governance theory (Ansell & Gash, 2008) and SWOT analysis (Rangkuti, 2018) to map internal–external factors and assess the quality of multi-stakeholder collaboration. The study uses a qualitative descriptive approach, collecting data through interviews, observation, and documentation, with triangulation for data validation. The findings indicate that the main strengths of the strategy are community awareness campaigns and available health infrastructure, while the greatest opportunity comes from national policy and government support. However, weaknesses such as limited community understanding and threats such as socio-economic inequality remain significant challenges. The study concludes that the success of stunting mitigation strategies is strongly determined by actor synergy, facilitative leadership at the village level, and the utilization of national policy opportunities. It recommends strengthening collaborative institutional design and leveraging health technologies to ensure program sustainability
Abstract:Background : Mental disorders are conditions in which individuals experience disturbances in psychological, social, and biological functions. One of the most common symptoms in patients with schizophrenia is visual hallucination,…
cination, which refers to the perception of seeing something that does not actually exist. This condition affects the patient’s ability to function and interact with their social environment. Appropriate nursing interventions are required to help patients manage their hallucinations. One such intervention is the talking technique, a distraction strategy that redirects the patient’s attention from hallucinations to real-life interaction. Objective : This study aims to determine the process of mental nursing care for patients with sensory perception disorders: visual hallucinations with a focus on conversation interventions at Dr. Soedjarwadi Klaten Regional Hospital. Method : The design of this study uses a case study method consisting of stages of assessment, determination of nursing diagnosis, planning, implementation, and evaluation. The subject in this study was Mr. P, a patient at the Dr. RM Soedjarwadi Klaten Regional Mental Hospital. Results : The results of the study showed that consistent implementation of conversational strategies during treatment can reduce the intensity of hallucinations, increase awareness of reality, and rebuild patients' social interaction abilities. Counclusion : Conversation intervention is an effective approach in treating visual hallucinations in mental disorders patients.
Abstract:Premenstrual Syndrome (PMS) includes physical, emotional, and behavioral symptoms pre-menstruation. These symptoms affect the daily activities of adolescent girls. Regular physical activity can increase endorphin production,…
ion, which may reduce PMS symptoms. This study aims to investigate the correlation between physical activity and PMS symptoms among girls in Abulyatama Senior High School. This study used a quantitative technique with a descriptive approach. The population consisted of all 41 adolescent girls at Abulyatama Senior High School who were also selected as the sample using a total sampling technique. The data collection from April 24th to May 5th, 2025. The Global Physical Activity Questionnaire (GPAQ) was used to measure physical activity level, while the Shortened Premenstrual Assessment Form (SPAF) was used to assess PMS symptoms. Data analysis used the Chi- Square test using univariate and bivariate analysis techniques. The results showed a correlation between physical activity and premenstrual syndrome with p = 0.018 correlation (p<0,05). These findings suggest there is a significant correlation between physical activity and reduced PMS symptoms among girls in Abulyatama Senior High School. This study suggests that the girls regularly do physical activity and use it as one non-pharmacological treatment to reduce PMS symptoms.
Abstract:Background: Mental disorders are conditions that affect a person's emotions, thought patterns, and behavior that can interfere with activities and social interactions. WHO (2022) notes that around 24 million people worldwide…
wide experience mental disorders, where more than 60% of sufferers experience self-care deficits. Self-care deficit is a condition when a person is unable to care for themselves optimally, this has a major impact on the individual's social and self-care functions, including in personal hygiene activities such as brushing their teeth. Where around 45% of patients with self-care deficits show reluctance to brush their teeth which increases the risk of oral disease and other systemic infections. Brushing teeth in patients with self-care deficits is needed to improve oral hygiene and the patient's ability to care for themselves personally. Objective: To determine nursing care from assessment to evaluation in miss Y with self-care deficits with a focus on brushing teeth. Method: The method used is the case study approach method. Results: After nursing care was carried out on miss Y with self-care deficits, it was proven to increase the miss Y's self-care ability, especially brushing their teeth. Conclusion: The act of brushing teeth is effective in increasing self-care awareness in miss Y with self-care deficits.
Abstract:The accuracy of disease diagnosis coding is an important indicator in the management of medical records and health service claims. This study aims to determine the percentage of accuracy in coding pneumonia diagnoses based…
ed on ICD-10 according to the 2023 National Medical Practice Guidelines (PNPK) at Udayana Hospital II in Denpasar. The research method used was quantitative descriptive with a total sampling approach of 72 medical records of pneumonia patients during the period from October 1, 2024, to December 31, 2024. The research instrument was a checklist for assessing the accuracy of diagnosis codes based on the provisions of ICD-10 and PNPK Pneumonia 2023. The results showed that 51 files (70.8%) were coded accurately, while 21 files (29.2%) were coded inaccurately. The inaccuracy in coding was due to a lack of supporting tests, such as microbiological tests, as well as the excessive workload of the coders. These findings indicate the need for an analysis of coders' workload to measure the effectiveness and efficiency of their tasks, time management, and priorities. This study is expected to serve as evaluation material to improve the quality of service and efficiency of hospital administration.
Abstract:Inhaled corticosteroids (ICS) are commonly prescribed to manage asthma and chronic obstructive pulmonary disease (COPD) due to their local anti-inflammatory effects in the airways. However, prolonged or high-dose ICS use…
has been associated with systemic adverse effects, including decreased bone mineral density (BMD) and increased risk of osteoporosis. This review aimed to examine the association between ICS use and the risk of osteoporosis or fractures, and to identify modifying factors such as dose, duration, patient age, sex, and type of corticosteroid used. Literature review was conducted using databases including PubMed, Scopus, and Web of Science. Articles were selected using specific inclusion and exclusion criteria. The review focused on original studies published up to March 2025, resulting in 28 relevant articles, of which 6–8 high-quality studies were analyzed in depth. Most studies demonstrated that long-term or high-dose ICS use is associated with decreased BMD and increased risk of fractures, especially in elderly COPD patients. The greatest risk was linked to fluticasone and budesonide at doses ≥500 µg/day. Some studies found neutral or even protective effects in specific subgroups, indicating population-dependent variability. Meta-analyses revealed conflicting results due to heterogeneity in populations and methodologies. High-dose and long-term ICS use may increase the risk of osteoporosis. Clinicians should consider individualized risk assessments and adopt strategies such as using the lowest effective dose, monitoring BMD, and providing calcium and vitamin D supplementation in at-risk populations.
Abstract:This study examines the influence of firm ethicality, green marketing, and corporate social responsibility (CSR) on brand loyalty toward Tokopedia, it also explores the moderating roles of brand reputation, environmental…
concern, and social influence. A survey of 56 Tokopedia users was analyzed using partial least squares structural equation modeling (PLS-SEM). Results show that firm ethicality significantly and positively influenced brand loyalty. In contrast, green marketing and CSR did not show significant effects, nor did any of the hypothesized moderating relationships. Interestingly, social influence, although not proposed as a direct predicator, demonstrated a significant direct effect on brand loyalty, highlighting the roles of normative and informational influence in e-commerce. Assessment of the measurement model confirmed satisfactory construct reliability, convergent validity, and discriminant validity. The structural model exhibited predictive relevance. The findings indicate that corporate ethics and social influence are key factors in fostering loyalty within Indonesia’s digital marketplace.
Abstract:This study is motivated by the lack of use of mathematics learning tools such as student worksheets (LKPD) at MAS Darul Istiqomah Padangsidimpuan, where teacher handbooks and textbooks are more frequently used. Additionally,…
lly, the students' mathematics learning outcomes, particularly in the topic of arithmetic sequences and series, are low. This study aims to assess the validity, practicality, and effectiveness of student worksheets (LKPD) based on brain-based learning (BBL) using crossword puzzles in the topic of arithmetic sequences and series for class X at MAS Darul Istiqomah Padangsidimpuan. This research is a research and development (R&D) study. The development model used in this research is the 4D model, which consists of four stages: Define, Design, Development, and Disseminate. The validation of the LKPD includes material validation, media validation, and language validation. The trial was conducted in class X-B, with a total of 19 students at MAS Darul Istiqomah Padangsidimpuan. The material experts, media experts, and language experts each consisted of 2 validators. The results of this study indicate that the developed LKPD meets the eligibility criteria, with an overall validation percentage of 87.32%, categorized as valid. The practicality of all aspects is shown by a value of 85.63%, categorized as very practical. The effectiveness is indicated by an average student learning outcome score of 71%, calculated from the overall average learning outcomes of the students, categorized as effective. Therefore, it can be concluded that the LKPD is feasible, engaging, and capable of improving student learning outcomes.
Abstract:This study aims to assess the financial performance of PT Global Teleshop Tbk for the period 2017–2021 based on liquidity, profitability, solvency, and activity ratio analysis. The research uses a descriptive qualitative…
ve method. The population consists of the financial statements of PT Global Teleshop Tbk, with the sample being the company's financial reports from the last five years (2017–2021). The data analysis uses financial ratios. The results show that: (1) The liquidity ratio analysis indicates good financial performance, as shown by the increasing Current Ratio (CR) and Quick Ratio (QR), demonstrating the company's improving ability to meet short-term liabilities with liquid current assets, although the QR still falls into the less optimal category; (2) The profitability ratio analysis indicates poor performance, with low Net Profit Margin (NPM) and Return on Equity (ROE), showing the company's limited ability to generate profits from shareholders' funds; (3) The solvency ratio analysis shows weak financial performance, with Debt to Asset Ratio (DAR) and Debt to Equity Ratio (DER) indicating the company’s inability to cover total liabilities with its assets; (4) The activity ratio analysis, based on Total Asset Turnover (TATO) and Working Capital Turnover (WCT), also suggests poor performance due to declining asset turnover and ineffective management of working capital.